$61.55
Choose 29581 for a multilayer compression system applied to the lower leg, ankle, and foot. 29580 describes Unna boot strapping.
On this page
CMS RVU26D · Effective 2026-10-01
29581 Compression wrap Medicare reimbursement rates in Vermont
Report this service when a clinician applies a multilayer compression system to treat conditions such as venous edema or a lower-leg ulcer. Compare 29581 office and facility rates across CMS payment localities in Vermont.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 29581 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$82.70
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$22.85
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care
About 29581: Below-knee multilayer leg compression application
Report this service when a clinician applies a multilayer compression system to treat conditions such as venous edema or a lower-leg ulcer.
A clinician applies a multilayer compression system to a leg from the foot and ankle to below the knee. It is commonly used in outpatient wound care for venous stasis ulcers, chronic venous insufficiency, and edema or lymphedema requiring compression. The treated area and the compression system applied distinguish this service from localized strapping or a splint.
Report one service for each treated leg, documenting the condition, side, area treated, and application. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 29581
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.59 · 24%
- Practice expense (office) RVU1.90 · 76%
- Malpractice RVU0.01 · 0%
173.7K
Medicare services in 2024 · #409 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
29581 compared with similar codes
Office rates for Vermont, from the same CMS release.
$73.69
29581 treats the leg; 29584 is the related multilayer compression service for an upper-arm site.
Compare 29581 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Vermont →
Office / nonfacility
$82.70
Facility
$22.85
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29581 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,304
- Code
- 29581
- Physician work
- 0.59
- Practice expense
- 1.90
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 1.90 | × 0.990 | 1.8810 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 2.4761 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$82.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 1.9 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.59 × 1 + 1.9 × 0.99 + 0.01 × 0.506) × $33.4009 = $82.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.09 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.59 × 1 + 0.09 × 0.99 + 0.01 × 0.506) × $33.4009 = $22.85
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
29581 billing questions
How does 29581 differ from 29580?
29581 is for a multilayer compression system on the lower leg, including the ankle and foot. 29580 is for Unna boot strapping.
Can 29581 be reported for both legs?
Yes. Document treatment of both legs and report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports 29581?
Record the diagnosis or clinical condition being treated, the leg and area treated, and application of the multilayer compression system.
Does 29581 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or another surgeon be paid with 29581?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,30129540,,Strapping ankle &/foot,A,,0.38,0.43,,0.05,,0.03,0.84,0.46,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30229550,,Strapping of toes,A,,0.24,0.32,,0.03,,0.02,0.58,0.29,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30329580,,Strapping unna boot,A,,0.54,1.28,,0.09,,0.07,1.89,0.70,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30429581,,Appl multlayer cmprn sys leg,A,,0.59,1.90,,0.09,,0.01,2.50,0.69,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30529584,,Appl mltlay cmprn sys up arm,A,,0.34,1.88,,0.05,,0.01,2.23,0.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30629700,,Rmvl/bivlv gauntlet boot/cst,A,,0.56,1.42,,0.25,,0.09,2.07,0.90,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30729705,,Rmvl/bivlv full arm/leg cast,A,,0.74,1.21,,0.35,,0.13,2.08,1.22,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817